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BLANK SCHEDULE FORM <br />Attached to antl forming part of Pol tty No. of the Insurance Company <br />of Issued at Its ,Tezns, Agency. <br />• Dated Agents. <br />~ ~ ~ ~ DESCRIPTION OF PROPERTY <br />ITFN~ AMOUNT OF ~COINSURANCE~ See def tnltlons of Building, Household Goods, Stock, Furniture, Fixtures, and/or <br />No.~ INSURANCE APPLICABLE ~ RATE ~Mechi nary, and Contents in the Pa11cy. Unless otherrise provided, insurance on <br />~ ~ ~ personal property shell cover only rh11e in the described building. <br />~ ~ ~ ~ <br />1 ~ 5125,OOO~ BOA ~ SON THE CONTENTS OF THE TWELVE STORY, APPROVED RDOF, FR-FIRE RESIST-WR BUILDING <br />~ ~ FIRE x.02 ~LDCATED AT 718 EIGHT STREET, MICHI TA FALLS, VICNlTA, iX 76301 LO7: BLOCK: <br />~ ~ EC x.072 FILE: EIG2O-718 DCCUPANCY:O FF ICE, PRIVATE <br />~ ~ OCSF x.082 ~ <br />PRESCRIBED BY THE STATE BOARD OF INSURANCE <br />• <br /> <br />